Organization
INFINITE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOHNSON (PRESIDENT)
(803) 547-4343
Entity
Organization
Contact information
Practice address
1698 HIGHWAY 160 W STE 200, FORT MILL, SC 29708-8034
(803) 547-4343
(803) 547-3914
Mailing address
1698 HIGHWAY 160 W STE 200, FORT MILL, SC 29708-8034
(803) 547-4343
(803) 547-3914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
943
SC
Other
Enumeration date
01/10/2012
Last updated
12/18/2012
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